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This is VAERS ID 337846

Case Details

VAERS ID: 337846 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Male  
Location: Foreign  
   Days after vaccination:185
Submitted: 2009-01-21
   Days after onset:19
Entered: 2009-01-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Abdominal X-ray, Band neutrophil percentage increased, Dehydration, Food intolerance, Haematocrit decreased, Haemoglobin decreased, Intussusception, Lymphadenitis, Neutrophil percentage, Pyrexia, Surgery, Varicella, Vomiting, White blood cell count increased, X-ray abnormal
SMQs:, Acute pancreatitis (broad), Haematopoietic erythropenia (broad), Haemorrhage laboratory terms (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal obstruction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data: Abdominal X-ray, 03Jan2009, IS; Band neutrophil percentage 03Jan2009, 5%; Band neutrophil percentage, 03Jan2009, 5%; Hematocrit, 03Jan2009, 29%; Hematocrit, 03Jan2009, 34.2%; Hemoglobin, 03Jan2009, 11.2g/dl; Hemoglobin, 03Jan2009, 9.7g/dl; Leukocyte count NOS, 03Jan2009, 7.2mm3; Leukocyte count NOS, 03Jan2009, 17.5mm3; Neutrophils, 03Jan2009, 70%; Neutrophils, 03Jan2009, 52%
CDC Split Type: B0554110A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of intussusception in a 10-month-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). Previous and/or concurrent vaccination included ROTARIX; GlaxoSmithKline; oral given on 25 April 2008. On 1 July 2008 the subject received 2nd dose of ROTARIX (oral). On 2 January 2009, 6 months after vaccination with ROTARIX, the subject was hospitalized because he presented fever frequent vomiting and food intolerance. Physical examination showed lesions of varicella not complicated, fever and dehydration. Relevant test performed 2 hours later included abdominal x-ray which showed air fluid levels, generalized opacity in mesogastry, and lack of air in rectal ampulla. Therefore intestinal invagination was suspected. On 03 January 2009 a surgery was performed corroborating ileo-ileal intussusception with mesenteric adenitis and normal cecolappendix. The event was resolved without complications and franc improvement. On 08 January 2009 the subject was discharged. The subject was hospitalized for 7 days. The subject was treated with Ampicillin and paracetamol. The physician considered the events were unrelated to vaccination with ROTARIX.

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